Treatment for Ischemic Disorders

A stroke occurs every minute. Death from stroke occurs every three minutes. The UCSF Center for Stroke and Cerebrovascular Disease is committed to the rapid diagnosis and treatment of stroke. A physician-to-physician hotline (877/BRAIN-1-1) is available 24 hours a day, seven days a week for emergency consultations, referrals, and transfers to UCSF Medical Center.

Radiological evaluation with CT scan, MR imaging, and/or angiography is performed promptly to establish a diagnosis within the window for therapeutic intervention, and neurosurgery is available at any time. After extensive evaluation by the Center's team, patients who experience cerebrovascular insufficiency who cannot be treated medically are considered candidates for carotid endarterectomy or extracranial-to-intracranial (EC-IC) bypass surgery. 

•  Carotid endarterectomy - This surgery is helpful in preventing stroke in patients with symptomatic or asymptomatic narrowing of the carotid artery greater than 50 percent. During surgery, the exposed carotid artery is temporarily clamped while the atherosclerotic material is removed and the artery is stitched closed. The clamp is then removed and flow is restored to the artery. 
 
•   EC - IC bypass surgery - This technique is a promising option for high-risk patients with symptomatic artherosclerotic occlusion of the internal carotid artery. Clinical trials have demonstrated a reduction in subsequent stroke for patients following this surgical intervention.